| NPI | 1184498404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKEISHA TALTOAN Agency Provider 330-314-2815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2025-01-31 |